Central Illinois Pathology, Sc
NPI 1114970761 · Anatomic Pathology & Clinical Pathology Physician · Peoria, IL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Central Illinois Pathology, Sc is a Anatomic Pathology & Clinical Pathology Physician organization in Peoria, IL (NPI 1114970761).
Provider details
- NPI number
- 1114970761
- Entity type
- Organization
- Primary specialty
- Anatomic Pathology & Clinical Pathology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Michael Hayes, Administrator(309) 624-9011
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-05-17
- Last updated
- 2007-10-30
Frequently asked questions
- What is Central Illinois Pathology, Sc's NPI number?
- Central Illinois Pathology, Sc's National Provider Identifier (NPI) is 1114970761, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Central Illinois Pathology, Sc?
- Central Illinois Pathology, Sc is classified in the NPPES registry as Anatomic Pathology & Clinical Pathology Physician (Allopathic & Osteopathic Physicians).
- Where is Central Illinois Pathology, Sc located?
- Central Illinois Pathology, Sc's practice location on file with NPPES is 530 Ne Glen Oak Ave, Peoria, IL 61637-0001.
- What is Central Illinois Pathology, Sc's phone number?
- The practice phone number listed in the NPPES registry for Central Illinois Pathology, Sc is (309) 624-9011.
- Does Central Illinois Pathology, Sc accept Medicare?
- Central Illinois Pathology, Sc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Central Illinois Pathology, Sc?
- The authorized official listed on Central Illinois Pathology, Sc's NPPES record is Michael Hayes, Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Central Illinois Pathology, Sc's NPI active?
- Yes — Central Illinois Pathology, Sc's NPI (1114970761) is active in the NPPES registry as of the last update on 2007-10-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.